| Entity Name: | GRAND FORTUNE GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Aug 1998 (26 years ago) |
| Document Number: | P98000073867 |
| FEI/EIN Number | 593538277 |
| Address: | 2502 BROOKSTONE DR, KISSIMMEE, FL, 34744, US |
| Mail Address: | 2502 BROOKSTONE DR, KISSIMMEE, FL, 34744, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295032829 | 2011-02-17 | 2011-02-17 | 2411 FORTUNE RD, KISSIMMEE, FL, 347443964, US | 2411 FORTUNE RD, KISSIMMEE, FL, 347443964, US | |||||||||||||||||||||||||
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| Phone | +1 407-348-6100 |
| Fax | 4073480031 |
Authorized person
| Name | MR. JONATHAN BARTOLO |
| Role | CFO |
| Phone | 4073486100 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7215 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140952200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARTOLO JONATHAN M | Agent | 2502 BROOKSTONE DR, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| BASQUINEZ EDWIN | Chairman | 2502 BROOKSTONE DR, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| BARTOLO JONATHAN | Chief Financial Officer | 2502 BROOKSTONE DR, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| YAP HOOVER | Director | 3950 KIAWA DR., ORLANDO, FL, 32837 |
| Name | Role | Address |
|---|---|---|
| BARTOLO ALFREDO J | Manager | 103 THORNBURY DR, KISSIMMEE, FL, 34744 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
